Ludin Salizar M, Rashid Nor'ain A, Awang Mohamed S, Nor Mohd B M
1 International Islamic University Malaysia, Kuantan, Malaysia.
Clin Nurs Res. 2019 Sep;28(7):830-851. doi: 10.1177/1054773818767551. Epub 2018 Apr 5.
Severe traumatic brain injury (TBI) survivors show physical and functional improvements but continue to have cognitive and psychosocial problems throughout recovery. However, the functional outcome of severe TBI in Malaysia is unknown. The objective of this study is to measure the functional outcomes of severe TBI within 6 months post-injury. A cohort study was done on 33 severe TBI survivors. The Glasgow Outcome Scale-Extended (GOSE) was used in this study. The mean age of the participants was 31.79 years (range: 16-73 years). The logistic regression model was statistically significant, χ²(5, = 33) = 29.09, < .001. The length of stay (LOS) in incentive care unit ( = .049, odds ratio = 6.062) and duration on ventilator ( = .048, odds ratio = 0.083) were good predictors of the functional outcomes. Future research should focus on larger sample size of severe TBI in Malaysia.
重度创伤性脑损伤（TBI）幸存者虽有身体和功能上的改善，但在整个康复过程中仍存在认知和心理社会问题。然而，马来西亚重度TBI的功能结局尚不清楚。本研究的目的是测量伤后6个月内重度TBI的功能结局。对33名重度TBI幸存者进行了一项队列研究。本研究使用了扩展格拉斯哥预后量表（GOSE）。参与者的平均年龄为31.79岁（范围：16 - 73岁）。逻辑回归模型具有统计学意义，χ²(5, = 33) = 29.09， <.001。重症监护病房的住院时间（ = .049，比值比 = 6.062）和使用呼吸机的时长（ = .048，比值比 = 0.083）是功能结局的良好预测指标。未来的研究应聚焦于马来西亚更大样本量的重度TBI。
